What is Jeff Black's NPI number?

Jeff Black's National Provider Identifier (NPI) is 1548713217, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jeff Black's specialty?

Jeff Black is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).

Where is Jeff Black located?

Jeff Black's practice location on file with NPPES is 578 N Kimball Ave, Southlake, TX 76092-6883.

What is Jeff Black's phone number?

The practice phone number listed in the NPPES registry for Jeff Black is (817) 601-5877.

Is Jeff Black's NPI active?

Yes — Jeff Black's NPI (1548713217) is active in the NPPES registry as of the last update on 2016-07-29.

IndividualActive

Jeff Black, MA, LPC

NPI 1548713217 · Professional Counselor · Southlake, TX

Jeff Black, MA, LPC is a Professional Counselor provider in Southlake, TX (NPI 1548713217).

Provider details

NPI number: 1548713217
Entity type: Individual
Primary specialty: Professional CounselorBehavioral Health & Social Service Providers
Credential: MA, LPC
Sex: Male
Sole proprietor: Yes
License: 69061 (TX)

Specialties & taxonomies

Professional CounselorPrimary101YP2500XLicense 69061 (TX)
Behavioral Health & Social Service Providers

Profile Score

Established profile(71/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
9 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

578 N Kimball Ave

Suite 130

Southlake, TX 76092-6883

Phone: (817) 601-5877

Street-level locationGet directions

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Mailing address